Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $2,056.00 / $4,685.56	Facility		$111.74	$2,056.00	$4,685.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $134.08 / $230.99	Professional		$78.37	$134.08	$230.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $78.31 / $107.64	Professional		$78.31	$78.31	$107.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.11 / $1,542.16 / $3,697.82	Facility		$1,131.11	$1,542.16	$3,697.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $79.73 / $151.88	Professional		$20.65	$79.73	$151.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $171.83 / $378.65	Professional		$88.27	$171.83	$378.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $2,056.00 / $4,789.46	Facility		$134.08	$2,056.00	$4,789.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $159.47 / $289.32	Professional		$86.96	$159.47	$289.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $169.57 / $243.73	Professional		$136.26	$169.57	$243.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.97 / $217.34 / $310.60	Professional		$174.97	$217.34	$310.60